Individual provider Active NPI

Abigail Joy Vanliere, DDS

  • Dentist
  • Brookings, SD
National Provider Identifier
1356835946
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D1193 Issued in SD
Practice address
2110 12TH St S
Brookings, SD 57006-5609
Phone
(605) 692-9463
NPI assigned
Jun 18, 2018
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D1193 SD Primary

Addresses

Primary practice location

2110 12TH St S
Brookings, SD 57006-5609

Mailing address

2442 County Road H2
Saint Paul, MN 55112-4741
Phone (605) 351-8355

Other names 1

  • Abigail Joy Neff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D1193SDMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1356835946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 COUNTY ROAD H2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124741",
            "telephone_number": "605-351-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 12TH ST S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570065609",
            "telephone_number": "605-692-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLIERE",
        "first_name": "ABIGAIL",
        "middle_name": "JOY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "NEFF",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.